Tri State Ocular Prosthetics, Llc

LBN: Tri State Ocular Prosthetics, Llc
Tri State Ocular Prosthetics, Llc is an health care organization with primary practice located at 130 Tri County Pkwy Suite 201, Cincinnati OH 45246-3289. The organization recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as the primary health care specialty. Tri State Ocular Prosthetics, Llc can be contacted via phone (513) 771-6029, or through Hetzler, Andrew W via phone (513) 310-2060.

Contact Information

Primary practice address
130 Tri County Pkwy Suite 201 Cincinnati OH 45246-3289
Fax: (513) 771-6187
Website:
Authorized official contact:
Name: Hetzler, Andrew W B.C.O., B.A.D.O.

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X O.11 Ohio

Profile Details

NPI number 1205974516
LBN Legal business name Tri State Ocular Prosthetics, Llc
DBA Doing business as
Authorized official Hetzler, Andrew W B.C.O., B.A.D.O.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 11th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205974516 NPPES
Ohio MEDICAID 0063218
Ohio MEDICAID 7100005950
Ohio Other 511527

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